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Journal of Long-Term Effects of Medical Implants
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2018029099
pages 239-245

Medical Missions in Jordan: A Series of Upper-Extremity Orthopedic Injuries

Aiman Rifai
St. Joseph’s Regional Medical Center, Paterson, New Jersey
Todd P. Pierce
Department of Orthopedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey
Kimona Issa
Department of Orthopedics, St. Joseph's University Medical Center, Paterson, New Jersey
Jennifer Kurowicki
Department of Orthopedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey
Yasmine Rifai
St. Joseph's Regional Medical Center, Paterson, New Jersey

ABSTRACT

Worldwide, a great deal of disability is caused by musculoskeletal injuries from high-energy trauma. In nations affected by war, blast injuries associated with mines, missiles, high-powered gunshots, and bombings are one cause of these injuries. Medical missions carried out by those from developed nations is one way to address this. Therefore, it is critical that those who participate in these missions maintain a basic understanding the injuries that may be encountered in nations affected by war and violent conflict. We describe a small number of upper-extremity injuries seen by one orthopedic surgeon during his volunteer medical mission to Jordan. Many of these injuries resulted in the loss of function and/or limb, as these patients were treated without appropriate instrumentation or facilities in a suboptimal environment and in a delayed manner by surgeons who lacked optimal training. It is our hope that this case series will encourage studies that can offer guidance in the ways to treat such complex injuries with optimal safety and efficacy.


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